PCI术后新发焦虑抑郁发病情况及其相关因素的临床研究  

A clinical study on the incidence and related factors of new anxiety and depression after PCI

作　　者：卜雪芹 谷国强[2] 李学永 孙毅[1] 曾伟[1] 朱婧懿[1] 田福利[1] Bu Xueqin;Gu Guoqiang;Li Xueyong;Sun Yi;Zeng Wei;Zhu Jingyi;Tian Fuli(Department of Cardiology,the 81st Army Hospital of the Chinese people's Liberation Army,Zhangjiakou 075000,China;不详)

机构地区：[1]中国人民解放军陆军第81集团军医院(原解放军251医院)心内科,张家口075000 [2]河北医科大学第二医院心内科,石家庄050000

出　　处：《中国循证心血管医学杂志》2020年第11期1366-1369,1373,共5页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：河北省张家口市重点研发计划项目(1921114D)。

摘　　要：目的调查冠状动脉粥样硬化性心脏病(冠心病)患者行经皮冠状动脉介入治疗(PCI)后新发焦虑抑郁的特点和危险因素。方法选取2016年于原解放军251医院心内科接受PCI,且符合标准的冠心病患者200例。按有无新发焦虑、抑郁等疾病进行分组。记录一般资料,对患者在术后及随访分别采用焦虑和抑郁自评量表对患者进行评价。用SPSS 18.0软件统计分析。结果焦虑组在除<60岁组、小学及以下、大专及以上、农村、有饮酒史、有急性冠脉综合征、支架>2个在不同节点中无差异(P>0.05)外,其余调查内容在术后的发生率高于随访(P<0.05)。抑郁组在年龄≥60岁、中学中专、城市居住、已婚、未婚离异丧偶等患者在术后的发生率高于随访(P<0.05)。焦虑抑郁共病组在≥60岁、小学、中专、农村、无饮酒史、无糖尿病、无高脂血症、无既往PCI术,支架>2个、有医保患者的发生率为术后高于随访(P<0.05)。Logistic分析显示,术后三种并发症的危险因素为年龄、居住地、饮酒史、糖尿病、高脂血症、支付方式;此外,焦虑组还有文化程度、糖尿病;抑郁组、焦虑抑郁共病组还有既往PCI史。结论PCI术后新发焦虑、抑郁各有特点,临床需针对患者的特点及时给于对症治疗和心理疏导。Objective To investigate the characteristics and risk factors of anxiety and depression after PCI in patients with coronary heart disease.Methods A total of 200 patients with coronary heart disease who received PCI treatment in the Department of Cardiology of PLA 251 Hospital in 2016 and met the standards were selected and divided into groups according to whether they had new onset of anxiety,depression and other diseases.General information was recorded,and the anxiety and depression self-rating scales were used to evaluate the patients after surgery and follow-up.Statistical analysis was performed with SPSS18.0 software.Results Anxiety group in<60 years old,elementary school and below,college degree and above,rural area,history of drinking,acute coronary syndrome,stent>2 have no difference in different nodes(P>0.05).The incidence of postoperative patients in the depression group was higher than that of follow-up(P<0.05)in patients with age≥60 years,middle school,technical school,urban residence,married,unmarried,divorced and widowed patients.In the anxiety and depression comorbid group,the incidence of patients with≥60 years old,elementary school,technical secondary school,rural area,no history of drinking,no diabetes,no hyperlipidemia,no previous PCI,stents>2,and medical insurance has a higher incidence after surgery At follow-up(P<0.05).Logistic analysis showed that the three risk factors for postoperative complications were age,place of residence,drinking history,diabetes,hyperlipidemia,and payment method;in addition,risk factors for anxiety group included education level and diabetes.The risk factors of depression group and anxiety-depressive comorbidity group include PCI history.Conclusion After PCI,the new anxiety and depression have their own characteristics,and the clinical treatment and psychological guidance should be given to the patients.

关 键 词：经皮冠状动脉介入治疗术 术后情志并发症 一般资料 相关因素 临床研究 

分 类 号：R816.2[医药卫生—放射医学]